Amaurosis After Inferior Alveolar Nerve Block Injection in a Seven-year-old Girl: A Case Report and Review of the Literature
Abstract
A seven-year-old girl was referred for the treatment of her primary teeth. An inferior alveolar nerve block was administered using 1 mL of 2% lidocaine. Shortly after the injection, the patient experienced pain, erythema, blurred vision, and temporary loss of vision in her right eye. Based on these symptoms, a diagnosis of transient vision loss due to the anesthetic injection was made. The situation was explained to the child and her parents, assuring them that the complication was temporary. The right eye was covered with wet gauze, and all symptoms resolved within 20 minutes. A follow-up ophthalmological examination showed no abnormalities, and the procedure was successfully completed without further complications. A one-day follow-up revealed no issues.
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8. You TM. Diplopia after inferior alveolar nerve block: case report and related physiology. J Dent Anesth Pain Med. 2015 Jun;15(2):93-96.
9. Frangiskos F, Stavrou E, Merenditis N, Tsitsogianis H, Vardas E, Antonopoulou I. Incidence of penetration of a blood vessel during inferior alveolar nerve block. Br J Oral Maxillofac Surg 2003;41(3):188–189.
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11. Huang RY, Chen YJ, Fang WH, Mau LP, Shieh YS. Concomitant Horner and Harlequin Syndromes after Inferior Alveolar Nerve Block Anesthesia. J Endod 2013; 39(12):1654-57.
12. Boynes S, Echeverria Z, Abdulwahab M. Ocular complications associated with local anesthesia administered in dentistry. Dent Clin N Am. 2010; 54: 677-686
13. Lee C. Ocular complications after inferior alveolar nerve block. Hong Kong Med Diary. 2006; 11: 4-5
14. Williams JV, Williams LR, Colbert SD, Revington PJ. Amaurosis, ophthalmoplegia, ptosis, mydriasis and periorbital blanching following inferior alveolar nerve anaesthesia. Oral Maxillofac Surg. 2011 Mar;15(1):67-70.
15. Odabas¸i O, S¸ahin O, Polat ME. Transient amaurosis and diplopia after inferior alveolar nerve block. J Craniofac Surg 2017;28:e632–4.
16. Verma DK, Rajan R, Prabhu S. Ipsilateral, isolated amaurosis after inferior alveolar nerve block: report of two rare cases. Oral Maxillofac Surg 2013;17:73–5.
2. Barodiya A, Thukral R, Agrawal SM, Rai A, Singh S. Temporary Blindness after Inferior Alveolar Nerve Block. J Clin Diagn Res. 2017 Mar;11(3):ZD24-ZD25.
3. Pandey R, Dixit N, Dixit KK, Roy S, Gaba C. Amaurosis, an Unusual Complication Secondary to Inferior Alveolar Nerve Anesthesia: A Case Report and Literature Review. J Endod. 2018 Sep;44(9):1442-1444.
4. Khalil H. A basic review on the inferior alveolar nerve block techniques. Anesth Essays Res. 2014 Jan-Apr;8(1):3-8.
5. Steenen SA, Dubois L, Saeed P, Lange J. Ophthalmologic complications after intraoral local anesthesia: case report and review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Jun;113(6):e1-5.
6. Yoon RK, Chussid S. Ocular complications following an inferior alveolar nerve block on a child patient: a review of the literature and report of a case. Pediatr Dent. Jul-Aug 2012;34(4):343-6.
7. Alamanos C, Raab P, Gamulescu A, Behr M. Ophthalmologic complications after administration of local anesthesia in dentistry: a systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016 Mar;121(3):e39-50.
8. You TM. Diplopia after inferior alveolar nerve block: case report and related physiology. J Dent Anesth Pain Med. 2015 Jun;15(2):93-96.
9. Frangiskos F, Stavrou E, Merenditis N, Tsitsogianis H, Vardas E, Antonopoulou I. Incidence of penetration of a blood vessel during inferior alveolar nerve block. Br J Oral Maxillofac Surg 2003;41(3):188–189.
10. Malamed SF. Handbook of local anesthesia-e-book. Elsevier Health Sciences; 2019; 157-160.
11. Huang RY, Chen YJ, Fang WH, Mau LP, Shieh YS. Concomitant Horner and Harlequin Syndromes after Inferior Alveolar Nerve Block Anesthesia. J Endod 2013; 39(12):1654-57.
12. Boynes S, Echeverria Z, Abdulwahab M. Ocular complications associated with local anesthesia administered in dentistry. Dent Clin N Am. 2010; 54: 677-686
13. Lee C. Ocular complications after inferior alveolar nerve block. Hong Kong Med Diary. 2006; 11: 4-5
14. Williams JV, Williams LR, Colbert SD, Revington PJ. Amaurosis, ophthalmoplegia, ptosis, mydriasis and periorbital blanching following inferior alveolar nerve anaesthesia. Oral Maxillofac Surg. 2011 Mar;15(1):67-70.
15. Odabas¸i O, S¸ahin O, Polat ME. Transient amaurosis and diplopia after inferior alveolar nerve block. J Craniofac Surg 2017;28:e632–4.
16. Verma DK, Rajan R, Prabhu S. Ipsilateral, isolated amaurosis after inferior alveolar nerve block: report of two rare cases. Oral Maxillofac Surg 2013;17:73–5.
| Issue | Vol 21 (Continuously Published Article-Based) | |
| Section | Case Report | |
| DOI | https://doi.org/10.18502/fid.v21i40.16732 | |
| Keywords | ||
| Amaurosis Blindness Case report Local anesthesia Vision disorders | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Amirkhani A, Mosleh H. Amaurosis After Inferior Alveolar Nerve Block Injection in a Seven-year-old Girl: A Case Report and Review of the Literature. Front Dent. 2024;21.
